License holder summary

Bousaba Phetsomphou is a Pharmacy Technician In-Training licensed to practice in Indiana. The address on file for Bousaba Phetsomphou is Indianapolis IN 46226. This licensed professional license is not current. The license was granted 12/23/2003 and expired on 12/23/2004.

Indiana

Professional Licensing Agency

Bousaba Phetsomphou
Pharmacy Technician In-Training
License number
99011044A
Date granted
12/23/2003
Date expires
12/23/2004
Class
Pharmacy Technician In-Training
Status
Superceded
Address
Indianapolis IN 46226
indianalicensing.org
ID 8320714
LAST UPDATED 2024-02-10 06:37:31 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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